HCPCS code J7313 — Inj., iluvien, 0.01 mg.
Status: Active.
Effective Oct 1, 2019.
Source: CMS HCPCS Level II.
J7313
ActiveInj., iluvien, 0.01 mg
Injection, fluocinolone acetonide, intravitreal implant (iluvien), 0.01 mg
Category:
Drugs
Section:
J-codes: Drugs Administered Other Than Oral Method
Effective:
Oct 1, 2019
Code type:
alphanumeric
OPPS Status:
K
— Non-pass-through drugs and biologicals
OPPS APC:
9450
MUE — Medically Unlikely Edits
Maximum units of J7313 Medicare will pay for one beneficiary on one date of service. Claims exceeding the MUE are denied or returned for review.
| Service Type | Max Units / Day |
|---|---|
| Outpatient Hospital | 38 |
| Practitioner Services | 38 |
Source: CMS Medicare NCCI Medically Unlikely Edits
NDC Crosswalk
National Drug Codes (NDCs) mapped to this HCPCS code.
| NDC | Drug Name |
|---|---|
| 68611-0190-02 | Iluvien |